The NJ Police Chief Magazine Volume 26, Number 6 | Page 11
New Jersey State Association of Chiefs of Police
THREE DAY PROGRAM—SEE AGENDA FOR TIMES AND LOCATIONS.
FRIDAY, OCTOBER 30—SUNDAY, NOVEMBER 1, 2020
FEE: $685
MAKE CHECKS / PURCHASE ORDERS PAYABLE TO AND SEND TO:
New Jersey State Association of Chiefs of Police
751 Route 73 North, Suite 12
Marlton, NJ 08053
P/ 856-334-8943 F/ 856-334-8947 E/ [email protected]
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PLEASE DUPLICATE THIS FORM FOR EACH REGISTRANT.
REGISTRATIONS MUST BE PAID IN ADVANCE BY CHECK OR PURCHASE ORDER.
YOU WILL RECEIVE AN E-MAIL CONFIRMATION WITH HOTEL INFORMATION PRIOR TO THE EVENT.
CANCELLATIONS MUST BE RECEIVED 14 BUSINESS DAYS PRIOR TO THE COURSE IN ORDER TO BE
ISSUED A REFUND.
NAME:
TITLE/RANK/POSITION:
AGENCY/DEPARTMENT:
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE:
FAX:
E-MAIL ADDRESS:
(confirmations will be sent via e-mail)
PAYMENT:
Form of Payment: Check ___ Purchase Order ___
Credit Card: __Visa __ Mastercard __ AMEX
Credit Card #: _____________________________________ Exp. Date: ________ CC Code _______
Billing Address: ______________________________________________________________________
City/State/Zip: _______________________________________________________________________
________________________________________
Signature
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Date
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